Mehmood Amber, He Siran, Zafar Waleed, Baig Noor, Sumalani Fareed, Razzak Juanid
BMC Emerg Med. 2015;15 Suppl 2(Suppl 2):S10. doi: 10.1186/1471-227X-15-S2-S10. Epub 2015 Dec 11.
Vital signs play a critical role in prioritizing patients in emergency departments (EDs), and are the foundation of most triage methods and disposition decisions. This study was conducted to determine the frequency of vital signs documentation anytime during emergency department treatment and to explore if abnormal vital signs were associated with the likelihood of admission for a set of common presenting complaints.
Data were collected over a four-month period from the EDs of seven urban tertiary care hospitals in Pakistan. The variables included age, sex, hospital type (government run vs. private), presenting complaint, ED vital signs, and final disposition. Patients who were >12 years of age were included in the analysis. The data were analyzed to describe the proportion of patients with documented vitals signs, which was then crossed-tabulated with top the ten presenting complaints to identify high-acuity patients and correlation with their admission status.
A total of 274,436 patients were captured in the Pakistan National Emergency Department Surveillance (Pak-NEDS), out of which 259,288 patients were included in our study. Vital signs information was available for 90,569 (34.9%) patients and the most commonly recorded vitals sign was pulse (25.7%). Important information such as level of consciousness was missing in the majority of patients with head injuries. Based on available information, only 13.3% with chest pain, 12.8% with fever and 12.8% patients with diarrhea could be classified as high-acuity. In addition, hospital admission rates were two- to four-times higher among patients with abnormal vital signs, compared with those with normal vital signs.
Most patients seen in the EDs in Pakistan did not have any documented vital signs during their visit. Where available, the presence of abnormal vital signs were associated with higher chances of admission to the hospital for the most common presenting symptoms.
生命体征在急诊科患者的优先排序中起着关键作用，是大多数分诊方法和处置决策的基础。本研究旨在确定急诊科治疗期间任何时间生命体征记录的频率，并探讨异常生命体征是否与一组常见就诊主诉的入院可能性相关。
在四个月的时间里，从巴基斯坦七家城市三级护理医院的急诊科收集数据。变量包括年龄、性别、医院类型（政府运营与私立）、就诊主诉、急诊科生命体征和最终处置情况。分析纳入年龄大于12岁的患者。对数据进行分析以描述有生命体征记录的患者比例，然后将其与前十位就诊主诉进行交叉列表，以识别高 acuity 患者及其与入院状态的相关性。
巴基斯坦国家急诊科监测（Pak-NEDS）共记录了274,436名患者，其中259,288名患者纳入我们的研究。90,569名（34.9%）患者有生命体征信息，最常记录的生命体征是脉搏（25.7%）。大多数头部受伤患者缺少意识水平等重要信息。根据现有信息，只有13.3%的胸痛患者、12.8%的发热患者和12.8%的腹泻患者可被归类为高 acuity。此外，生命体征异常的患者入院率比生命体征正常的患者高出两到四倍。
在巴基斯坦急诊科就诊的大多数患者在就诊期间没有任何生命体征记录。在有生命体征记录的情况下，异常生命体征与最常见就诊症状的入院几率较高相关。
Zotero 插件